Pacemaker - ??? UPDATE #26

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I've been having some minor heart problems lately and taken a few falls, two of them on my head with severe bleeding and one concussion resulting in a hospital visit.

At 84, the upshot is that I'm scheduled for a pacemaker next week. This is all new to me, and I'd like for anyone to relate their experience with these devices -

Many thanks!

John
 
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Well I have one(the second). First one had a recall. What is the reason for the implant? My heart rate is low(30-35) so they put a pacemaker in to keep it at 60. Have you seen the device?. They have one that is implanted into the heart... Hope not for yours The whole process doesn't take all that long for most. If you still shoot long guns have it put in the off side shoulder area. PM me if you need specific questions answered. Not a really scary medical problem if it is needed. It should help with the passing out problem I'll bet. Good insurance I hope
 
I have a pacemaker/defibrilater. The defib saved my bacon one time.
The pacemaker just does it's duty. I'm 88 and took a few falls too.
They gave me an ablashen (not sure of the spelling), but that seemed
to stop the falls. (So far)
The last fall resulted in a pretty good size gash in my forehead
and a lot of blood. (Probably because I'm on a blood thinner)
I see you are a veteran. I get all of my medical procedures at
the Boise Veterans Administration Medical Center here in Boise.
Excellent service.
 
Wife got her first PM 21 years ago. Her second was about 10 years back, it is still working. She is due for another replacement in a year or so. The latest PMs are much smaller and more reliable than her present one. She is completely dependent on it. If it dies, so does she. She has quarterly monitoring to determine its remaining battery life and functioning. When she gets the new replacement it will somehow provide continuous wireless monitoring, but I don’t know just how that is done. The first time she was very apprehensive, but that passed. She has never had any complications and doesn’t even think about having it. Regarding shooting, it can be located on either the right or left side. That should be discussed with your cardioligist.
 
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Had a pacemaker to start and it was implanted on the left side of my chest. I'm a left hand shooter, and had no difficulty shooting rifles or shotguns.
I have AFib and had the procedure, where they stop the heart and then restart it in an attempt to stop the AFib. I t work for a while, but then the AFib came back. Was told the ablation would not really work for me, so never had that done.
I now have an ICD that Dr. implanted in my right chest. It works, and luckily I have never been shocked.
 
John, I know nothing about pacemakers, but I've recently learned about falls than anyone wants to know. I don't leave the house without a cane, They work; one and use it.

All I can add is i am hoping for a speedy recovery and return to good health.
Cheers, Fred
 
I've been having some minor heart problems lately and taken a few falls, two of them on my head with severe bleeding and one concussion resulting in a hospital visit.

At 84, the upshot is that I'm scheduled for a pacemaker next week. This is all new to me, and I'd like for anyone to relate their experience with these devices -

Many thanks!

John

I'm much younger than you but am on my 3rd. Each lasts about 10 years for the style I have. Your mileage may vary.

Here is the first and most important piece of advice I have for anyone getting a pacemaker - RELAX. Yes, there will some recovery and healing time, and the tech will have to make some adjustments to get it set exactly for you which may take a few months. But I can promise that one day in about 6 months or so you will wake up one morning, eat breakfast, go about your day, run your errands, do your chores, pay your bills, and do everything you normally do and then go to bed - without even remembering that you have a pacemaker! It will become a seamless part of your life eventually.

The current crop of pacemakers link to your smart phone (if you have one) and download data automatically to your cardiac clinic with zero input from you. The new ones are even safe for MRIs - the danger from microwave ovens and metal detectors is years passed.

The procedure to implant it is an afternoon and you will be home the same day barring any complications.

If you have any specific questions, please ask!
 
The fun part is when your device starts sending intermittent (every 15 minutes) low level Morse code "O's" to alert you and your Electrophysiologist that you have 30 days of battery life left. My telemetry device flashed an "end of service" warning.

That'll get your attention in a hurry.

I had to go have the alarm shut off and schedule an explant/implant.
 
About a year and a half ago with my heart rate a 35 the doc took 15 minutes to put a Medtronics in my left ventricle. Nickname "the bullet". About the size of a .32 caliber, with grappling hooks.
Like new battery in a flashlight. Good for ten more years, with room for two more. I have 2nd generation and they have a 3rd now.
 
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My experience concerns my Mom...When she was 86 and still living at home unassisted, she began having stroke-like symptoms...My sister in law, who lived next door, got her to the hospital, and called me at work...When I got to the ER she was in an examining room hooked up to various monitors, but she was conscious and aware of where she was...

While waiting on an ER doctor to arrive, my own cardiologist, who also happened to be Chief of Surgery at Conroe Regional Hospital, walked by in the hallway, saw me, did a double-take, and asked, "What's going on Ben?"...I told him my Mom had just been brought in, he said, "Mind if I take a look?"...

He looked her over for about 10 seconds, looked at her vital signs and started barking orders which made everyone in earshot shift into high gear...He only took the time to tell me she would be OK, and to find someplace to wait...In ten minutes she was on an operating table having a pacemaker installed...By a stroke of pure luck, one of the finest surgeons in the country happened to be there, and through his skill and the Grace of God, she lived to be just short of 99 having the battery changed in the pacemaker once...

Moral of the story: If your doctor tells you need it, just do it...:cool:...Ben
 
Best wishes for a successful procedure, John. My understanding is that they're very safe and very common.

One of my buddies is 94 and has had one of them for the past thirty years or so. Not sure how many generations he's gone through at this point but he's never had an issue. Doesn't slow him down at all. He just emailed me a couple of weeks ago from a Viking River ship on the Seine outside of LaRoche-Guyon in Normandy, to catch up. (And perhaps brag a little, subtly, about his health!)
 
Best wishes for a successful procedure, John. My understanding is that they're very safe and very common.

One of my buddies is 94 and has had one of them for the past thirty years or so. Not sure how many generations he's gone through at this point but he's never had an issue. Doesn't slow him down at all. He just emailed me a couple of weeks ago from a Viking River ship on the Seine outside of LaRoche-Guyon in Normandy, to catch up. (And perhaps brag a little, subtly, about his health!)

Thread drift, sorry John.

Arlo, we were on the Seine 4/29-5/7 heading up to Normandy and back to Paris.
We stopped at LaRoche-Guyon as well.
Ask him if he was on this ship.




LaRoche-Guyon







 
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Had one installed about 8 yrs ago for low 30's heart rate. They kept me overnight and had to avoid stretching left arm out for several months. Electrical fields from motors can shut mine off, like leaning over under the hood of a car, or operating a leaf blower. Can not go through metal detectors at airports, or be wanded. More modern ones may be differing by now. But it works, and keeps me alive and from passing out. It gets monitored from home by satellite, and only go in for specialist review once per year.
 
In the beginning----------------

Maybe 18-20 years ago(??)---my hands are "going to sleep"----sometimes so bad the they hurt enough to wake me up. I don't have a primary care physician----or any other kind. I do have several doctor "racing friends"---who doctor me "free for nothing". Off I go to my best one, who asks, "How long since you had an EKG?. "Well, I had a Stress EKG in order to renew my competition license when I turned 40." He scowled, and asked, "Want to guess how long it's going to be before you have your next one?"

I'm leaving the hospital near his office about 30 minutes later with a piece of paper in my hand. I don't have my glasses with me, but I can make out the word ABNORMAL up in the heading. Back at his office, I hear the words. "You need to be under the care of a Cardiologist----mine's Bob Gentry---if he's good enough for me, he's good enough for you!!"

Dr. Bob tells me I have a 65% blockage in the blood vessel that feeds the main heart muscle----and that's "not bad enough to fix", but we'll put you on some blood pressure medication to expand the blood vessel". 65% is not bad enough to fix is a shocker----but I'm on the meds for quite a spell---years!!

By the by, my hands going to sleep was "Carpel Tunnel Syndrome"---which went away all by itself.(??????)

I get up from my computer desk "too fast" one morning, and get dizzy like you do. About two minutes later, I'm hearing the Boss Lady calling "Ralph, Ralph, Ralph"---and I wake up on the floor. I have "carpet burns" on my knees and elbows. Other than that minor detail, I'm good to go.

It doesn't take me too long to decide if I've got the brains God gave a peanut, I'd better get dressed and head for the Emergency Room. Our small town E.R. reception area is a basically empty room---a few chairs----a speaker thing on the wall, a sliding frosted glass window behind which sits a real person, and a door though which worthwhile things happen. In I go. The speaker thing on the wall says, "May I help you?", and I say, "Yeah, I got dizzy and passed out."

BAM!!!!!!!!!!!!! The door flies open, and I'm on a Gurney headed inside RIGHT NOW!!!!!!!!!!!!!!!! Scary stuff!!

Next I'm in an ambulance headed for the main hospital in Chattanooga----and I'm more than a little bit irritated, because the ambulance is built on a truck chassis; and I wanted to go in the helicopter.

In between time, I've been asked by a Mutt & Jeff team of doctors, "What happened?" "I don't know, but it's happening again----right now!!" They spin around like they've been shot to look at my heart rate monitor, so I look too. It says 37-----hence the ride to the big hospital in a truck.

I'm there for 6 days---Cardiac Intensive Care for 3 days, regular Cardiac Care for 3 more----plus a couple of hours the next morning-----$60,000!!!!!!!!!!!!!!!!!!!!!!!! The good news is I'm out of pocket for ZIP-ZERO-NADA-----------good insurance on top of Medicare.

The problem's been diagnosed as the medication I've been taking FOR YEARS (Metoprolol??) to expand my blocked blood vessel. The cure is to stop taking it----------IMMEDIATELY!!!!!!!-------and go home with some different meds. Fine! When? First thing in the morning. Also fine.

First thing in the morning (when I'm supposed to go home) a new face arrives. It's a Lady Doctor who's in charge of "Monitoring". It turns out I, and every other patient in Cardiac Care, has been monitored 24 hours a day ever since admission. I'm the only patient there who's been up and walking around, complaining about not being allowed to go to the bathroom---and complaining about not getting a portable bathroom RIGHT NOW, when I asked for it---because a bed pan is NOT FOR ME--OUT OF THE QUESTION!!! All the rest of my new friends are in "induced comas"----which looked pretty much like dead!!

Lady Doctor tells me they think my new meds will do the trick, but they'd like to give me a Pacemaker--------"think of it as the suspenders---as in " a belt AND suspenders". So I'm a little late going home. My new Pacemaker is supposed to come on if/when my heart rate drops below 70. It's never come on.

My pacemaker is monitored by a little transmitter beside my bed, which rats me out every night about 1 A.M.----telling the head shed in Chattanooga what's been happening. Nothing's been happening since I got the pacemaker, but I go in to the BIG hospital in Chattanooga twice a year for a "device check", where a computer talks to the pacemaker to see how it's doing. It's doing fine, but next year is when it's batteries are supposed to wear out and I get a new one----unless I get lucky, and die first.

I'm 86. I figure I should have died a long time ago like pretty much everybody else does. If I'd been so lucky, I'd have been long gone before my body wore out, and got me into "Pain Management". That's where you go when you have stuff wrong that needs to be fixed, but your "hip doc" and your "back doc" doctors are properly terrified to put you to sleep long enough to fix them for fear they won't be able to wake you up again------and then they might have to talk to lawyers.

Now Pain Management seems to be working (LOOOOOOOOOONG needles, guided by X Ray, stuck into nerves in your back every now and then), but it ain't working good enough fast enough yet so I can do stuff I used to do---little things like walking around without a cane, getting in and out of my new Boy Street Racer Hot Rod, even mowing the lawn----which now costs $260 a mow, but it's a BIG yard, and they do it better than I ever did-----way better-----looks like a showplace---and they do any and everything else that needs to be done outside----and they're nice folks to boot! I had my most recent "procedure" two days ago. I can walk without my cane today (but I carry it with me just in case).

Gettin' old's a BI-ITCH!! On the other hand, I'm still here to fuss about it.

Ralph Tremaine

Oh! The mowers also trim the Boxwood shrubs---hundreds of them! I never counted them, because I didn't want to know! The "garage yard" is about 15 paces by 15 paces. It has 54 Boxwood shrubs in it!! I decided I didn't want to know how many more there were right about then! There are $1500 worth more altogether---to be trimmed---but that's only once a year.

GGGGGGHHHHAAAAAAAAAAAAAAAAAAAGGGGGGGGGGGHHHHHHHHHHH!!!
 
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Pacemakers are sealed. The batteries are not replaced, the entire unit is replaced during outpatient explant/implant surgery.


Thanks. I was wondering if they took a 2032 battery like most of my other small electronics. [emoji6]


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